Show f DIRTY MilK GAUSE I i OF TYPHOID I I Mighty Change Wrought in I Illinois Town as Soon as Proper Inspection Starts I An n epidemic of ot typhoid fever or e In St. St Charles cs Ill ca caused b by dirt dirty milk bottles Is fa reported In the tho Journal of ot the American Medical Association St. St Charles a t town of ot about Inhabit Inhabitants ants located about forty orty miles mUes west I of 01 Chicago had an nn epidemic of ot sixty ca cases cs of ot typhoid during the tho eight months preceding May 1912 or approximately ap approximately ap- ap proximately one case for every ty five inhabitants A special ro representative re- re of ot the Journal an expert on epidemics was sont to Investigate te the case Examination of ot the water supply showed It to bo be above suspicion Careful Careful Careful Care Care- ful Investigation atlon of ot the source of or the tho milk supply of ot the families In which tho cases of typhoid had occurred showed that of or two forty patients known to have used milk thirty nine received their milk from two dairies s. s and ond that In the other three CDS cases 8 Infection was probably due to direct contact Invest Investigation Ines I t of ot tho the dairies showed that one I of ot them then also supplied a n. Belgian com community 1 living west of or St. St Charles Charlos oom-I oom an and that there had been a number of at ca cases es of or typhoid among those these foreigners rs The milk Itself was found to be bo pure bu but butI t I the bottles were not properly cleaned I I after using and dirt dirty bottles In which milk had been beon used for other customers without being properly sterilized As soon oon as the these e facts wore known the I local health officer directed the tho milk 1 dealers la to tho the town to sterilize their r bottles b by boiling them thorn for at least II twenty minutes When 1 this precaution precaution precaution tion was taken Ute the epidemic immediately immedi immedi- ceased While the tho epidemic itself It Itself It- It self was T a ft comparatively small EmaIl ono one only sixty cases be being Ins recorded ed It IsI is I j c I important a as 8 showing the methods of or Investigation atlon now used In locating tho responsibility t for epidemics 1 I I r II |